Page 2 - Spring 2018 Newsletter Final Digital
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Cancer Vaccine Trial | continued from Page 1                                                                               ONE CURE IN ACTION

           “Stephen and I have been collaborating for more than a decade   Any owner whose dog develops cancer during the trial, on
        on a number of projects, mostly involving new cancer diagnostics,”   either the test or control, will be given a credit toward medical   ANCER IS CANCER, WHETHER YOU HAVE    activity against osteosarcoma, but does have   Dow and Regan proposed a study using losartan
                                                                                                                                                                                                             in pediatric bone cancer patients with tumor
                                                                                                                                      two legs or four. With that principle in mind,
                                                                                                                                                                        immune-modulatory effects in dogs. Results
        said Thamm. “When he brought up the idea of a universal cancer   expenses. Because of the size and scope of the trial, three   CFlint Animal Cancer Center scientists, Drs.   from 16 dogs treated in this trial have been   metastases who have failed to respond to
        preventative vaccine, I was appropriately skeptical. However, the   veterinary schools will enroll patients; Colorado State University’s   Steve Dow and Dan Regan, are collaborating   very encouraging, with 50 percent of the dogs   conventional treatment.  Working with pediatric
        data he has shared has convinced me that his approach, while not   Flint Animal Cancer Center, the University of Wisconsin–Madison,   with pediatric oncologists at Children’s Hospital   responding and almost 30 percent experiencing   oncologists, Drs. Lia Gore, Carrye Cost, Margaret
        guaranteed to work, is definitely worth testing.”       and the University of California, Davis.                           Colorado to study a promising new therapy to treat   actual tumor regression.  Importantly, adverse   Macy, and Kelly Faulk, the combined team is now
           Cancer is the leading cause of death in adult pet dogs, and   If successful, this trial would provide strong support for the
        many of their cancers are very similar to those of their human   concept of employing FSP vaccines to prevent cancer in its earliest   metastatic bone cancer in both dogs and kids.    events have been few and typical of those   designing a clinical trial similar to the canine
                                                                                                                                                                        expected for Palladia treatment.
                                                                                                                                                                                                             trial using high-dose losartan and sunitinib for
        counterparts. The dog immune system responds to tumors and   stages, possibly leading to a canine preventive cancer vaccine,   THE SCIENCE BEHIND THE STUDY                                          pediatric bone cancer patients. The team hopes to
        vaccines very similarly to humans.  But dog years and the course   and could eventually justify human clinical trials.       Tumor progression depends on help from   ONE CANCER. ONE CURE.          begin enrollment later this year.
        of tumor development are much shorter compared to the average   “We are fairly confident that if the vaccine works in dogs, it   the immune system, specifically from a type                           “These studies build on the important
        human lifespan. The team thinks it can evaluate the effectiveness of   could work in people,” said Shen.                   of white blood cell known as an inflammatory   The striking similarities between   connections between the human and veterinary
        the vaccine in five years or less, versus the 15 to 20 years it would   The cancer prevention vaccine is one of the many ways   monocyte. These monocytes, which eventually   osteosarcoma in dogs and humans make dogs   sarcoma fields first established by Drs. Ross
        take in a human trial. The vaccine they are studying in pet dogs   scientists, veterinarians, and  medical doctors are working together   differentiate into specialized cells called   the best animal system to study human bone   Wilkins and Steve Withrow, and provide real-
        will have a composition very similar to the one they would test in   to fight cancer in both pets and people. For more information about   macrophages, help promote survival of   cancer. Each year, more than 8,000 dogs are   world evidence of the impact of the One Cure
        people.                                                 the clinical trial, please see below or visit www.vaccs.org.       metastatic tumors, in part, by stimulating new   diagnosed with osteosarcoma. While bone   concept,” said Dow.
           “This is a really critical study in the evaluation of this vaccine,” said                                                                                    cancer is more common in dogs, according to
                                                                                                                                                                                                               One Cure’s goal is to raise awareness and
        Thamm. “While effectiveness has been shown in mouse models,                                                                blood vessel growth. Consequently, treatments   the Children’s Hospital Colorado, osteosarcoma   funding for the Flint Animal Cancer Center’s
                                                                                                                                   that can block monocyte and macrophage
        moving immediately to a very large, expensive, and time-consuming                                                          activity can help prevent the spread of cancer to   usually occurs in school-age children and   clinical trials program and other comparative
        human study is a leap that is hard to justify. Testing this approach in                                                    other parts of the body and treat existing tumors   adolescents and is the sixth most-common type   oncology research to find better treatment
        dogs will serve as the perfect bridge to human studies. Additionally, if                                                   by removing immune suppression and blocking   of cancer in this age group. The five-year survival   options for both pets and people with cancer.
        successful, we will have a new tool for cancer prevention in our pets,                                                     new blood vessel growth.             rate for human patients with bone cancer that   Currently, both Children’s Hospital and Flint
        potentially decades before it is available for humans.”                                                                      However, the Food and Drug Administration   has spread only to their lungs is 40 percent    Animal Cancer Center are seeking funds to
           The clinical trial, called the Vaccine Against Canine Cancer Study,                                                                                          (www.cancer.org).
        is scheduled to begin enrolling patients in Summer 2018. It will be                                                        has yet to approve a drug that can be used to   The encouraging results of the losartan study   support the upcoming pediatric trial.  The Shipley
                                                                                                                                   block monocyte migration for humans or animals.
                                                                                                                                                                                                             Foundation in Boston, a longtime supporter of
        the largest interventional canine clinical trial ever conducted. Under                                                     To overcome this barrier, Regan and Dow set   in dogs and the discouraging survival rates in   CSU’s cancer center, funded much of the initial
        Thamm’s direction, 800 healthy, middle-aged pet dogs will be                                                               out to find FDA-approved drugs that blocked   children with advanced osteosarcoma, prompted   laboratory study and canine clinical trial. For more
        enrolled, continuing to live their normal lives at home and receiving                                                      monocyte migration as an unintended drug   Regan and Dow to reach out to oncologists at   information about the trial or to learn how you
        biannual exams with a complete clinical pathology workup for                                                               effect. The goal would be to repurpose these   Children’s Hospital Colorado. Both entities are   can contribute your support, please contact Dr.
        five years. Participating pets will be randomized to receive either                                                        drugs as cancer immunotherapies.  After a long   members of the University of Colorado’s Cancer   Christine Hardy, christine.hardy@colostate.edu.
        the cancer vaccine or a placebo. Dogs receiving the placebo are                                                            search, they discovered a class of drugs known as   Center consortium and readily share information.
        expected to develop cancer at normal rates.            Left to right: Penny Gwynne, Dr. Luhui Shen, Dr. Stephen Johnston of the
                                                               Biodesign Center for Innovations in Medicine at Arizona State University   angiotensin receptor blockers that demonstrated
                                                               developed the cancer prevention vaccine.                            strong monocyte migration-inhibiting activity in
                                                                                                                                   multiple species (mouse, dog, human).
                                                                                                                                     Regan and Dow selected one of the drugs
         Vaccine Against Canine Cancer Study Eligibility                                                                           in this class (losartan) to evaluate the effect in
                                                                                                                                   mouse tumor studies. These studies showed
                                                                                                                                   strong activity using losartan alone in helping
          The goal of the VACCS trial is to evaluate a new vaccine   Weigh at least 12 pounds (5 kg)                               control the growth of metastatic tumors.
          strategy for the prevention of canine cancer. Healthy dogs of   No history of previous cancer                            When combined with a second drug, sunitinib,
          certain breeds, 6 years or older, will be randomized to receive                                                          a targeted cancer drug that also has immune-
          either the cancer prevention vaccine or a placebo vaccine.   No significant illness that could result in a life span of    modulatory properties, studies in mice showed
                                                                                                                                   even greater activity.
                                                                          less than five years
          To qualify for the VACCS trial, dogs must meet the following                                                             FROM LAB TO PATIENT
          criteria:                                                  No history of previous autoimmune disease
              Owners must live within 150 miles of one of the        No current treatment with oral or injectable                    Based on laboratory results, the investigators
              participating trial sites:                                  immunosuppressive medications such as prednisone,        designed a clinical trial to study the effects of
                                                                                                                                   losartan in dogs with metastatic bone cancer
              • Colorado State University · Fort Collins, Colo.                                                                    that had progressed to their lungs. At this stage
              • University of California, Davis · Davis, Calif.           cyclosporine, mycophenolate, or tacrolimus               of disease, few treatments have succeeded
              • University of Wisconsin–Madison · Madison, Wis.                                                                    in extending life beyond approximately two
              Older than 6 years                                     For more information, including qualifying breeds, please     months after diagnosis. For the study, scientists   Children’s Hospital Colorado patient, Solei, and Flint Animal Cancer Center patient, Alba, are both osteosarcoma
                                                                     visit www.vaccs.org.                                          administered high-dose losartan with Palladia   survivors. A new study hopes to find a better treatment option for canine and pediatriac cancer patients with
                                                                                                                                   (toceranib), a targeted drug that has minimal   metastatic osteosarcoma.


        2   Flint Animal Cancer Center Newsletter | Winter 2016
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